Appendix 1-A. BACKGROUND AND LOCATIONS OF MEDICAL RECORDS

March 31, 1997 NPRC 1865.103A





1. Health records. Health records are normally filed in a health jacket within the Official Military Personnel Folder (OMPF). Health records cover outpatient, dental, and mental health treatment (for Navy only) which a former member received while in the military service. Health record documents include induction and separation physical examinations and routine medical care (doctor/dental visits, lab tests, etc.) when the patient was NOT admitted to a hospital. The health records were formerly retired to NPRC with the personnel record portion when a member was discharged or retired from military service. Since the early 1990's most of these records are retired directly to the VA, RMC.

2. Inpatient records. Inpatient (clinical) records are NOT filed with the health records, but are generally retired to NPRC by the facility which created them. Inpatient records are compiled when members are actually hospitalized while in the service. An overnight stay or admission generally makes a patient an inpatient. The resulting records from hospital care are called either clinical or inpatient records. Inpatient records are retained at the medical facility which compiled them for varying periods of time: normally one to two years, but up to five years for most clinical record libraries and up to ten years for a teaching hospital.

The earliest clinical record collections at MPR are:

Army - 1960; Air Force - 1957; and
Navy - 1940's.
Earlier Army and Air Force clinical records were filed in the OMPF, and many of the documents recording inpatient care for Army and Air Force veterans were destroyed in the 1973 fire. EXCEPTION: Clinical record library collections date from the early 1940's (see NPRC 1865.121, app. 2-D).

3. Medical treatment records of dependents and military retirees created at military medical facilities.

     a. Retirees. For retirees, NPRC (MPR) stores records of inpatient, outpatient, dental, and mental health treatment. These records reflect health care for former members during their retirement years. Some record collections date from the 1940's and 1950's, but more comprehensive information exists beginning in the 1960's. The retiree records are sent to NPRC (MPR) from medical treatment facilities after 1-3 years of inactivity and are retained for 50 years from the year of last patient activity.

     b. Dependents and others. For dependents and others, NPRC stores records of inpatient, outpatient, dental, and mental health created at medical treatment facilities. MPR stores the records of individuals treated at Navy facilities; and CPR stores the records of individuals treated at Army and Air Force facilities. Some record collections date from the 1940's and 1950's, but more comprehensive information exists beginning in the 1960's. The records are sent to NPRC after 1-3 years of inactivity and are retained 50 years from the year of last patient activity.


BACKGROUND AND LOCATIONS OF MEDICAL RECORDS


TYPE/DESCRIPTION OF RECORD
LOCATION
Health records of Army personnel released, retired, or discharged prior to 10/16/92. MPR. Filed in service jacket.
Health records of Army personnel released, retired, or discharged on or after 10/16/92. VA, Records Management Center (RMC)
 P.O. Box 5020
St. Louis, MO 63115-5020
Health records of Air Force personnel released, retired, or discharged prior to 5/1/94. MPR. Filed in service jacket.
Health records of Air Force personnel released, retired, or discharged on or after 5/1/94. RMC
Health records of Navy personnel received on or prior to 7/1/76. MPR. Filed in medical jacket.
Health records of Navy personnel received after 7/1/76, and released, retired, or discharged prior to 1/31/94. MPR. Filed in service jacket.
Health records of Navy personnel released, retired, or discharged on or after 1/31/94.
EXCEPTION: Health records of Navy personnel received from March 1995 thru February 1997.
RMC

MPR. Filed in medical jacket
(with NM service code).

Health records of Marine Corps personnel received on or prior to 7/1/77. MPR. Filed in medical jacket.
Health records of Marine Corps personnel received after 7/1/77, and released, retired or discharged prior to 5/1/94. MPR. Filed in service jacket.
Health records of Marine Corps personnel released, retired, or discharged on or after 5/1/94. RMC
Health records of Coast Guard personnel received prior to 4/1/98. MPR. Filed in service jacket.
Health records of Coast Guard personnel received on or after 4/1/98. RMC
Inpatient (clinical) records of former military personnel.  MPR. Filed as organizational record by hospital name or number.
Medical treatment records of military retirees. MPR. Filed as organizational record
by hospital name or number.
Medical treatment records of dependents and others treated at Navy hospitals. MPR. Filed as organizational record by hospital name or number.
Medical treatment records of dependents and others treated at Army and Air Force hospitals. CPR. Filed as organizational record by hospital name or number.